Active NPI
Ann S. Connaghan, M.D.
- Family Medicine Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AC043757
- Practice address
- 5821 Colony Dr N
Saginaw, MI 48638 - Phone
- (989) 797-1041
- Fax
- (989) 799-0256
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AC043757 | MI | Primary |
Addresses
Primary practice location
5821 Colony Dr N
Saginaw, MI 48638
Mailing address
PO Box 779
Tawas City, MI 48764-0779
Phone (989) 797-1041
Other practice location 1
4040B N Euclid Ave
Bay City, MI 48706-2407
Phone (989) 671-9153
Other practice location 2
9900 Birch Run Rd Ste D
Birch Run, MI 48415-9609
Phone (989) 624-1575
Other practice location 3
5810 Gratiot Rd Ste B
Saginaw, MI 48638-6063
Phone (989) 790-3650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OZ91013 | Other | MI | BLUE CROSS & BLUE SHIEL |
| 3356140 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | annconnaghan@smomsjhs.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC043757 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Family Medicine | Past | Accepting new patients |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba St. Mary's Emergency Room Physician Group
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1801218680
-
dba Ascension Medical Group Frankenmuth Family Physicians
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1912995465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1609869106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487640779",
"telephone_number": "989-797-1041",
"fax_number": "989-799-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 COLONY DR N",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48638",
"telephone_number": "989-797-1041",
"fax_number": "989-799-0256"
}
],
"practiceLocations": [
{
"address_1": "4040B N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487062407",
"country_code": "US",
"telephone_number": "989-671-9153",
"fax_number": "989-671-9253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9900 Birch Run Rd Ste D",
"address_purpose": "LOCATION",
"city": "Birch Run",
"state": "MI",
"postal_code": "484159609",
"country_code": "US",
"telephone_number": "989-624-1575",
"fax_number": "989-624-1507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5810 Gratiot Rd Ste B",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486386063",
"country_code": "US",
"telephone_number": "989-790-3650",
"fax_number": "989-790-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNAGHAN",
"first_name": "ANN",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "AC043757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIEL",
"identifier": "OZ91013",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3356140",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "annconnaghan@smomsjhs.allscriptsdirect.net",
"affiliation": "N",
"address_1": "9900 Birch Run Rd Ste D",
"city": "Birch Run",
"state": "MI",
"country_code": "US",
"postal_code": "484159609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.